Individual
AMBER VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
18858 BENICIA ST, HESPERIA, CA 92345-5512
(760) 596-7472
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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